Organization Active NPI

Center for Plastic and Reconstructive Surgery

  • Specialist
  • Hixson, TN
National Provider Identifier
1891194395
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD17397 Issued in TN
Legal business name
CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY
Practice address
2104 Hamill Rd
Hixson, TN 37343-4029
Phone
(423) 698-5787
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeanne ScanlandNPI 1558310177
Title
Provider
Phone
(423) 698-5787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD17397 TN Primary

Addresses

Primary practice location

2104 Hamill Rd
Hixson, TN 37343-4029

Mailing address

2104 Hamill Rd
Hixson, TN 37343-4029
Phone (423) 698-5787

National Provider Directory

National Provider Directory

Locations

2104 Hamill Rd
Hixson, TN 37343
Phone (423) 698-5787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1891194395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434029",
            "telephone_number": "423-698-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434029",
            "telephone_number": "423-698-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "SCANLAND",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "423-698-5787",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD17397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.